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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
tJ&-43 7
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
'Te~ant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . '. .
.~R~~ication valuation
06-00000437 Date
141385
1304 0 ST
06-30-01-7-9-0050-0000-
GLEN-TERA, INC
. RES NEW SFR
6/05/06
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1/ I ,-,-/.
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RS9 RESDNTL SINGLE FAMILY
149739
Owner
Contractor
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GLENN-TERRA, INC.
136 E. 8TH. ST. #223
PORT ANGELES
(360) 621-9433
Other struct info
OWNER
WA 98362
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
1. 00
1. 00
1. 00
1. 00
1. 00
Plan Check Fee
valuation
.'00
149739
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Permit
Additional
Permit pin
Permit, Fee
Issue Date
Expiration
desc .
number
PUBLIC WORKS
3/4" DROP IN
78659
195.00
RES WATER SERV
METER
Date
12/02/06
_________~ty___Un):_~ha::~__:~~__~~~~_~~~______________________~~~~~~~
Permit . . . .. SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
78642
110.00
Plan Check Fee
Valuation
,00
149739
12/02/06
________=~~~___~~:~=~~~~~~_~~:__SAN_~EWER_~OO~~:______________~~
Special Notes and Comments
..J:'\.ddress numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
OS/22/2006 12:56 PM SROBERDS -- New sfr w/garage in RS-9
for total lot coverage of 30%. No land use issues apparent.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee $713.00
05/15/2006 04:40 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements, This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\l'olicies\1102.15R [1/05J
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
32l EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 06-00000437
Application pin number 141385
Page
Date
2
6/05/06
Special Notes and Comments
Public works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
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. STATE SURCHARGE _ !...::J fl".-..... .
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Fee summary Charged Paid Credited Due
---------------~- ----~~---- -~-------- ---------- ----------
Permit Fee Total 305.00 305.00 _00 _00
plan Check Total _00 _00 _00 _00
Other Fee Total 2074.50 2074.50 _00 _00
Grand Total 2379.50 2379.50 _00 _00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have nol been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Date
Signature of Owner (if owner is builder)
T:\Policics\1I02.15R [1/05)
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J21 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name . . . . .
Property Use
Property Zonlng
Application valuation
06-00000637 Date
266902
1304 0 ST
06-30-01-7-9-0050-0000-
ELECTRICAL ONLY
6/15/06
Owner
Contractor
RS9 RESDNTL SINGLE FAMILY
o
ROLLING HILL HOMES LLC
1312 MAIN ST
VANCOUVER WA 98660
(360) 582-1899
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
EL SVC / 60 A TEMP.
80275
ELECTRIC SERVICE
42 20 Plan Check Fee
Valuation
00
o
.............
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12/12/06
Qty Unit Charge Per
1.00 42 2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42.20
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 20 42.20 00 00
Plan Check Total .00 .00 00 00
Grand Total 42 20 42 20 00 00 \)
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECfION RECORD
CALL 417-473S:FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
I
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GENERAL COMMENTS:
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PW.II02.1S 14'961
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APPLICATION FOR WATER
City Water Division
Port Angeles, Washington
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20ck,
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Address:
Renewal 0
Size of Service
Service Left On 0
Installed by
Remarks:
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST:
Date IV - s- o~
Time
Received by
jr
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
CSew~undation Framing Chimney Plumbing Final Sewer Excav. Other
J 30 tj
o
1/ 1/
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417- /;?~.;.
0" - '-/37
INSPECTION NOTES:
Inspected: Date 10 -!:>- - O~ Time
N +' '" . f' / "7\ V 0
Remarks: Q.~ C-D"'.....-<2..C, 1001\. += ",XIS. '''''~ 'e r '-
I,'"" e J 4'/ Pre... ~"'o"'" ,..~clu-<:...Q.v- -+0 hoov:;-e..,
By 2V
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c.. + p.lope..1 fy.
-fl.;c; ~,C>w;<.. we..> Cl;ppe& {.,.ow-.. 0...:9.....<>..l <=<Pf...ove {
RESTORATION REQUIRED . . . . .. YES
NO X.
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SURFACE RESTORATION:
SURFACE TYP-E~ 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
7/'-
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date ~ -/ -D7
/
Time
Received by
. (phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing 8 Sewer Excav. Other
II
/:3 o'-!- S-' Oil
5!ifUU-t..t./ - ~
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()& - 437
INSPECTION NO:!:,ES: _ R
Inspected: Date .s Z 0"7 Time By V
Remarks: ~ ),1.I.(m/l.--' / t? - S---ot-.
UJtLt:<JL 0 K-
tltl~~ 7(;(( M';~d/YC../ ? p.-v w~11 (
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RESTORATION REQUIRED...... YES NO ><.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order # .
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary) .
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